2021-11-15T23:52:24-06:00 2020-12-31 990 2020-01-01 363725580 SHERMAN WEST COURT SHER 4142991862 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 RACHEL HALVERSON VP TAX & ACCTG SVCS 4142991862 2021-11-15 RACHEL HALVERSON 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X MARCO DELCASTILLO 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 1499253 0 X WWW.ADVOCATEHEALTH.COM X 1990 IL SERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD. X 8 7 0 0 0 0 8537 0 -183562 1499253 0 0 0 0 -175025 1499253 0 0 0 0 6492 0 0 0 0 -186827 0 -180335 0 5310 1499253 568572 0 2067825 0 -1499253 0 X TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES, THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD. 0 1 0 1499253 THE ORGANIZATION CEASED CONDUCTING PROGRAM SERVICES AFTER THE ASSET SALE ON 10/1/18. ANY ACTIVITY WOULD BE ADJUSTMENTS FROM PATIENT SERVICES IN 2018. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X ADVOCATE AURORA HEALTH INC 6309296057 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 KAREN LAMBERT DIRECTOR 1.00 55.00 X 0 1067627 139347 AUDREY REED DIRECTOR 1.00 0.00 X 0 0 0 DENISE M KEEFE DIRECTOR 1.00 55.00 X 0 839666 41337 ELIO VENTO DIRECTOR 1.00 0.00 X 0 0 0 KENNETH KOEHLER DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL KENYON CHAIRPERSON, PRESIDENT, DIRECTOR 1.00 1.00 X X 0 0 0 PATRICK CRAWFORD DIRECTOR 1.00 1.00 X 0 0 0 RITA CORBETT DIRECTOR 1.00 0.00 X 0 0 0 DOMINIC J NAKIS TREASURER 1.00 55.00 X 0 2001577 222808 JAMES DOHENY ASSISTANT TREASURER 1.00 55.00 X 0 600229 93283 MICHAEL KERNS ASSISTANT SECRETARY 1.00 55.00 X 0 524766 90542 MIKE LAPPIN SECRETARY 1.00 55.00 X 0 1579916 188398 SHELLY HART ASSISTANT SECRETARY 1.00 55.00 X 0 757127 113484 MICHAEL GREBE ASSISTANT SECRETARY 1.00 55.00 X 0 1181024 131982 JAMES SLINKMAN ASSISTANT SECRETARY 1.00 55.00 X 0 465570 85939 NAN NELSON ASSISTANT TREASURER 1.00 55.00 X 0 815972 95664 LESLIE LENZO ASSISTANT TREASURER 1.00 55.00 X 0 906168 103790 STEVE HUSER ASSISTANT TREASURER 1.00 55.00 X 0 476618 81094 LINDA DEERING DEAN FORMER DIRECTOR 0.00 55.00 X 0 606241 0 MARY MARTINI FORMER DIRECTOR 0.00 0.00 X 0 46074 12376 EARL J BARNES II FORMER OFFICER 0.00 0.00 X 291951 0 37 291951 11868575 1400081 1 1 1 0 0 PATIENT SRVC REVENUE 623000 1499253 1499253 1499253 1499253 1499253 0 0 0 0 0 0 558173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10399 0 568572 0 2067825 0 2067825 0 X -1499253 0 -1499253 0 568572 0 1499253 0 X 0 1 X 1 0 X 31299 30085 8537 69921 10734379 9877307 7033073 -183562 27461197 10734379 9908606 7063158 -175025 27531118 0 0 0 27531118 37233 46733 45155 129121 10771612 9955339 7108313 -175025 27660239 0.99530 0.99580 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 37,233. MISCELLANEOUS - 2017 AMOUNT: $ 36,155. 2018 AMOUNT: $ 39,373. MEAL TICKET REVENUE - 2017 AMOUNT: $ 10,578. 2018 AMOUNT: $ 5,782. 1 1 0 0 0 0 0 1 0 DOMINIC J NAKIS TREASURER 0 788017 0 1151310 0 62250 0 194724 0 28084 0 2224385 0 245312 MIKE LAPPIN SECRETARY 0 721806 0 816406 0 41704 0 170220 0 18178 0 1768314 0 292557 MICHAEL GREBE ASSISTANT SECRETARY 0 540499 0 598967 0 41558 0 131982 0 0 0 1313006 0 180815 KAREN LAMBERT DIRECTOR 0 624009 0 413478 0 30140 0 103592 0 35755 0 1206974 0 96077 LESLIE LENZO ASSISTANT TREASURER 0 579502 0 264550 0 62116 0 92380 0 11410 0 1009958 0 80332 NAN NELSON ASSISTANT TREASURER 0 482832 0 295537 0 37603 0 95664 0 0 0 911636 0 145573 DENISE M KEEFE DIRECTOR 0 524049 0 282894 0 32723 0 8550 0 32787 0 881003 0 0 SHELLY HART ASSISTANT SECRETARY 0 503641 0 221328 0 32158 0 95306 0 18178 0 870611 0 91432 JAMES DOHENY ASSISTANT TREASURER 0 399917 0 174832 0 25480 0 67207 0 26076 0 693512 0 55763 MICHAEL KERNS ASSISTANT SECRETARY 0 348133 0 151530 0 25103 0 59895 0 30647 0 615308 0 47983 LINDA DEERING DEAN FORMER DIRECTOR 0 0 0 326241 0 280000 0 0 0 0 0 606241 0 0 STEVE HUSER ASSISTANT TREASURER 0 322068 0 126492 0 28058 0 68729 0 12365 0 557712 0 50708 JAMES SLINKMAN ASSISTANT SECRETARY 0 311772 0 135726 0 18072 0 54796 0 31143 0 551509 0 43451 EARL J BARNES II FORMER OFFICER 0 0 175605 0 116346 0 0 0 37 0 291988 0 0 0 MARY MARTINI FORMER DIRECTOR 0 6 0 32752 0 13316 0 0 0 12376 0 58450 0 0 SCHEDULE J, PART I, LINE 4A THE FOLLOWING EMPLOYEES RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT NOTED BELOW. EARL J. BARNES II, FORMER ASSISTANT SECRETARY, $116,346 MARY M. MARTINI, DIRECTOR, $16,329 THE ABOVE PAYMENTS HAVE BEEN REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III). SCHEDULE J, PART I, LINE 7 INCENTIVE PAYMENTS ARE BASED UPON A FORMULA. THE AMOUNTS ARE CALCULATED AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE ACHIEVED. THE COMPENSATION COMMITTEE CAN EXERCISE DISCRETION OVER WHETHER INCENTIVE COMPENSATION IS PAID OUT ANNUALLY. OPERATIONAL ACTIVITY AND PERSONAL PROPERTY OF SHERMAN WEST COURT 2018-10-01 5571967 000000000 ELGIN SKILLED NURSING FACILITY CO CASCADE CAPITAL GROUP LLC 3450 OAKTON STREET SKOKIE IL 60076 0 0 0 0 0 0 0 0 0 FORM 990, PART III, LINE 3 FORM 990, PART III, LINE 3, CHANGES IN PROGRAM SERVICES: THE ORGANIZATION CEASED CONDUCTING PROGRAM SERVICES AFTER THE ASSET SALE ON 10/1/18. FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR SHAREHOLDERS BYLAWS PROVIDE FOR ADVOCATE SHERMAN HOSPITAL AS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS SHERMAN WEST COURT HAS A SOLE CORPORATE MEMBER, ADVOCATE SHERMAN HOSPITAL, WHO APPOINTS ITS DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B RESERVE POWERS THE FOLLOWING RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBER, ADVOCATE SHERMAN HOSPITAL: A) TO APPOINT THE DIRECTORS OF THE CORPORATION; B) TO REMOVE A DIRECTOR OF THE CORPORATION AT ANY TIME, WITH OR WITHOUT CAUSE; C) TO APPOINT THE CHAIRMAN AND VICE CHAIRMAN OF THE CORPORATION, AND ALL OFFICERS OF THE CORPORATION WHO ARE NOT ALSO EMPLOYEES OF THE CORPORATION; D) TO UNILATERALLY APPROVE AND AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION BEFORE THE SAME BECOME EFFECTIVE; E) TO APPROVE, INTERPRET OR CHANGE THE STATEMENT OF THE CORPORATION'S PURPOSE BEFORE THE SAME BECOMES EFFECTIVE; F) TO APPROVE EACH ANNUAL OPERATING AND CAPITAL BUDGET AND LONG-RANGE PLAN OF THE CORPORATION BEFORE EXPENDITURES MAY BE MADE THEREFROM; G) TO APPROVE THE APPOINTMENT OF INDEPENDENT AUDITORS, ALL ACCOUNTING POLICIES, INTERNAL AUDITORS (IF ANY) AND ALL INVESTMENT GUIDELINES; H) TO APPROVE ALL CONTRACTS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF $25,000 AND WHICH WAS NOT INCLUDED IN A PREVIOUSLY APPROVED ANNUAL BUDGET; I) TO APPROVE ALL PLANS OF MERGER, CONSOLIDATION OR VOLUNTARY DISSOLUTION OF THE CORPORATION; J) TO APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF MORE THAN $100,000 IN VALUE OF PROPERTY AND ASSETS OF THE CORPORATION IN ANY ONE YEAR WHICH IS NOT WITHIN AN APPROVED BUDGET; K) TO APPROVE THE CREATION OF MAJORITY CONTROLLED OR OWNED SUBSIDIARIES OR AFFILIATES BY THE CORPORATION; L) TO APPROVE THE CORPORATION'S INCURRING DEBT, INCLUDING INTRASYSTEM DEBT, OR OBLIGATING ITS ASSETS IN EXCESS OF AN AMOUNT DESIGNATED BY THE MEMBER, UNLESS SUCH DEBT OR OBLIGATION WAS INCLUDED IN A BUDGET PREVIOUSLY APPROVED BY THE MEMBER; M) TO APPROVE CORPORATE ACQUISITIONS BY THE CORPORATION OF ANY JOINT VENTURE; N) TO APPROVE INVESTMENTS BY THE CORPORATION IN EXCESS OF AN AMOUNT DESIGNATED BY THE MEMBER, UNLESS SUCH INVESTMENT WAS INCLUDED IN A BUDGET PREVIOUSLY APPROVED BY THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B TAX PREPARATION PROCESS SHERMAN WEST COURT'S TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION, TO ADVISE AND ASSIST WITH PREPARATION OF THE FORM 990. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE, TAX, AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. THE FORM 990 IS REVIEWED BY FINANCE MANAGEMENT, THE TAX MANAGER, THE VP OF FINANCE/CORPORATE CONTROLLER, THE CHIEF FINANCIAL OFFICER, AND ADVOCATE'S OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTOR'S AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATION'S TEAM, INCLUDING ITS ADVISORS, MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE / CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE / CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS 'INTERESTED PERSONS'). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE A DISCLOSURE STATEMENT TO THE COMPLIANCE DEPARTMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE, AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON, OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD, OR GOVERNING COUNCIL, OR A COMMITTEE THEREOF, OR A PERSON OF INTEREST, IF IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE, POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 AVAILIABILITY OF DOCUMENTS CONFLICT OF INTEREST POLICY, & FINANCIAL STATEMENTS TO GENERAL PUBLIC THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEBSITES: - DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC), - EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS). THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. ADVOCATE CHARITABLE FOUNDATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363297360 FUNDRAISING IL 501(C)(3) LINE 7 AHCN 0 ADVOCATE CONDELL MEDICAL CENTER 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 262525968 HEALTH CARE IL 501(C)(3) LINE 3 AHHC 0 ADVOCATE HEALTH & HOSPITALS CORPORATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 362169147 HEALTH CARE IL 501(C)(3) LINE 3 AHCN 0 ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 362167779 PARENT CORP IL 501(C)(3) LINE 12C, III-FI N/A 0 ADVOCATE NORTH SIDE HEALTH NETWORK 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363196629 HEALTH CARE IL 501(C)(3) LINE 3 AHHC 0 ADVOCATE SHERMAN HOSPITAL 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 362167920 HEALTH CARE IL 501(C)(3) LINE 3 AHCN 0 MASONIC FAMILY HEALTH FOUNDATION INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 364397387 FUNDRAISING IL 501(C)(3) LINE 12A, I MFHS 0 EHS HOME HEALTH CARE SERVICE INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 362913108 HOME CARE IL 501(C)(3) LINE 10 AHHC 0 MERIDIAN HOSPICE 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363158667 HOSPICE CARE IL 501(C)(3) LINE 10 EHSHHCS 0 ADVOCATE AURORA HEALTH INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 824184596 SUPPORTING OR DE 501(C)(3) LINE 12C, III-FI N/A 0 DMA SURGERY CENTER 2357 SEQUOIA DRIVE AURORA IL 60506 363890298 MEDICAL SERVICES IL N/A 0 0 ADVOCATE HOME CARE PRODUCTS INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363315416 HEALTH SERVICES IL N/A C 0 ADVOCATE HPN NFP 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 810893878 HEALTH IMPRV MGMT IL N/A C 0 ADVOCATE INSURANCE SPC 878 WEST BAY ROAD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 980422925 INSURANCE CJ N/A C 0 BROMENN PHYSICIAN MANAGEMENT CORPORATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 371313150 MEDICAL SERVICES IL N/A C 0 DREYER CLINIC INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 362690329 MEDICAL SERVICES IL N/A C 0 EVANGELICAL SERVICES CORPORATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363208101 MANAGEMENT SVCS IL N/A C 0 HIGH TECHNOLOGY INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363368224 MEDICAL SERVICES IL N/A C 0 PARKSIDE CENTER CONDO ASSOCIATION 1775 WEST DEMPSTER STREET PARK RIDGE IL 60515 363452486 PROPERTY MGMT IL N/A C 0 THE DELPHI GROUP IV INC 1425 N RANDALL ROAD ELGIN IL 60515 364017279 HEALTH COST MGT IL N/A C 0 ADVOCATE HEALTH PARTNERS 1701 WEST GOLF ROAD ROLLING MEADOWS IL 60008 364032117 HEALTH CARE MGMT IL N/A C 0 ADVOCATE PHYSICIAN PARTNERS ACCOUNTABLE 1701 WEST GOLF ROAD ROLLING MEADOWS IL 60008 455498384 HEALTH CARE MGMT IL N/A C 0 ADVOCATE PHYSICIAN PRTNRS RISK PURCHASE 1701 WEST GOLF ROAD ROLLING MEADOWS IL 60008 383914173 GROUP MALPRACTICE IL N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 ADVOCATE SHERMAN HOSPITAL P 9438 COST ADVOCATE SHERMAN HOSPITAL Q 2080681 COST